Pediatric Associates of Southern Indiana

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF SOUTHERN INDIANA

Practice address

1425 State St Ste 100
New Albany, IN 47150-4909

Phone

(812) 945-2229

Fax

(812) 949-2229

NPI assigned

Oct 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tina M. Dean

Title

Billing Manager

Phone

(812) 945-2229

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1003996166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 STATE ST STE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504909",
            "telephone_number": "812-945-2229",
            "fax_number": "812-949-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 STATE ST STE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504909",
            "telephone_number": "812-945-2229",
            "fax_number": "812-949-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF SOUTHERN INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "812-945-2229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100382640",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaily Patel
• Bennett Patrick
• Janice Patterson, CXT(C)
• Kira M Patterson
• Andrea Peake
• Pediatric Specialty Rehab, Inc.
• Ruth Pedrosa
• Peggy'S Place, LLC
• Jennifer Ann-Marie Pehl, MD
• Tara Sharie Pemberton, APRN

• Pediatrics Physician in New Albany, IN
• Providers in New Albany, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.